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NEW POLICIES

Durable Medical Equipment (DME) MP-086 Specialty Enclosure Bed Systems (Home use) October 31, 2025 October 31, 2025 October 31, 2026
Reimbursement REIMB-046 Modifiers August 30, 2025 July 30, 2025 July 30, 2026
Radiology, diagnostic MP-034 Single Photon Emission Computed Tomography with Computed Tomography (SPECT/CT) August 25, 2025 June 25, 2025 June 25, 2026
Reimbursement REIMB-044 Routine Supplies & Services August 28, 2025 June 25, 2025 June 25, 2026
Reimbursement REIMB-045 Medical/Surgical Supplies August 28, 2025 June 25, 2025 June 25, 2026
Radiology, diagnostic MP-082 Cardiac Fludeoxyglucose-Positron Emission Tomography (FDG-PET) Scans July 28, 2025 May 28, 2025 May 28, 2026
Reimbursement REIMB-043 Orthotic Supplies July 28, 2025 May 28, 2025 May 28, 2026
Administrative ADMIN-010 Telehealth Policy June 30, 2025 April 30, 2025 April 30, 2026
Reimbursement REIMB-027 Myoelectric Prosthetic Components for the Upper Limb May 13, 2025 March 13, 2025 March 13, 2026
Reimbursement REIMB-042 Doula Services May 13, 2025 March 13, 2025 March 13, 2026
Behavioral Health MP-054 Ketamine-Assisted Psychotherapy (KAP) April 26, 2025 February 26, 2025 February 26, 2026
Reimbursement REIMB-047 Residential Treatment Center Interim Billing February 01, 2026 January 01, 2026 February 01, 2027